Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Richard Fulmer, MDIV, LCSW

Individual provider Clinical Social Worker · NPI 1982838124

Douglas Richard Fulmer, MDIV, LCSW is a Clinical Social Worker in Orland Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11309 Distinctive Dr Ste #3
Orland Park, IL 60467-9490
Phone: (708) 227-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149013359 (IL)

Record details

NPI number1982838124
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , LCSW
Sole proprietorYes
NPI enumeratedMay 2, 2009
Last updated in NPPESMay 2, 2009

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